HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. L11CIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
561.462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the fo
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(tax IDAegal description/address) e
for which I' have applied to St. Lucie County for a Final D�vel gment Permit. In accepting
this Final Development Permit, BP Number t7bOG . I acknowledge that as
owner of the above described property, and in accordance with Section 7.04.01(D), St.
Lucie County Land Development Code, I shall be responsible for assuring adequate
drainage so that the immediate community WILL NO be adversely affected. I further
ack i owledge that in granting this permit for the development of this property, St. Lucie
County is neither obliged nor liable to provide for, or mai any form, adequate
drainage off my property which will n affect a imme iate community.
JIM RAYMOND
Property Owner
(Print) i
STATE OF FLORIDA, COUNTY OF ST. LUCIE
L ,—I
Property Owner
(Signature)
Date
SWORN TO AND SUBSCRIBED BEFORE ME THIS t 8 DAY OF JULY 20; 06 ,
BY
OF
TITLE
IDENTIFICATION.
Jessica Anderson
TYPE OR PRINT NAME OF NOTARY
DD494602
COMMISSION NUMBER
WHO HAS PRODUCED
1Nv
ESa��ICA ANDERSON
AMMISSION
1? * DD494602
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EJTIRES: Nay. 28.2009
(407)390"l 53 Ronda Notary SerAmoom
SLCCDV FORM NO.: 011-00